IndividualActive
Amanda Wiseman, OTA
NPI 1386900405 · Occupational Therapy Assistant · West Lafayette, IN
Provider details
- NPI number
- 1386900405
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTA
- Sex
- Female
- Sole proprietor
- No
- License
- 32002137A (IN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
917 Sagamore Pkwy W
West Lafayette, IN 47906-1443
Phone: (765) 463-2200
Fax: (765) 463-3625
Street-level locationGet directions
Mailing address
Po Box 4699
Lafayette, IN 47903-4699
Registry dates
- Enumerated
- 2012-04-03
- Last updated
- 2012-04-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.